A 65-year-old man presents with haematemesis and melaena after regular NSAID use. He is tachycardic and hypotensive. After initial ABCDE resuscitation...

Question

A 65-year-old man presents with haematemesis and melaena after regular NSAID use. He is tachycardic and hypotensive. After initial ABCDE resuscitation and bloods, what is the most appropriate next step in hospital management?

Accepted Answer

Arrange urgent upper GI endoscopy within 24 hours of resuscitation

Answer

Arrange routine outpatient endoscopy

Answer

Start oral Omeprazole and discharge

Answer

Delay endoscopy for 7 days to allow ulcers to heal

Answer

No endoscopy is needed if haemoglobin is normal

uk-plab-1 MCQ (SBA): Upper GI bleed management

A 65-year-old man presents with haematemesis and melaena after regular NSAID use. He is tachycardic and hypotensive. After initial ABCDE resuscitation and bloods, what is the most appropriate next step in hospital management?